2003
DOI: 10.1007/s00404-002-0312-9
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Serum adenosine deaminase activity and its isoenzyme pattern in women with normal pregnancies

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Cited by 26 publications
(21 citation statements)
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“…Whereas the uncommon genetic deficiency of ADA severely impairs multiple immune responses in effected individuals, our discovery of a relative physiologic ADA deficiency that is apparently normal at birth and early infancy suggests a potential mechanism that may contribute to the general susceptibility of healthy newborns to bacterial, mycobacterial, and viral infections (64). Of note, a similar profile (elevated plasma AP (65), 5′-NT (66), and eAdo (66) and lower total ADA (but not lower ADA1) (67)) is found during pregnancy, another functionally distinct immunologic state associated with impaired Th1-polarizing cytokine responses and enhanced susceptibility to intracellular pathogens (68, 69). …”
Section: Discussionmentioning
confidence: 80%
“…Whereas the uncommon genetic deficiency of ADA severely impairs multiple immune responses in effected individuals, our discovery of a relative physiologic ADA deficiency that is apparently normal at birth and early infancy suggests a potential mechanism that may contribute to the general susceptibility of healthy newborns to bacterial, mycobacterial, and viral infections (64). Of note, a similar profile (elevated plasma AP (65), 5′-NT (66), and eAdo (66) and lower total ADA (but not lower ADA1) (67)) is found during pregnancy, another functionally distinct immunologic state associated with impaired Th1-polarizing cytokine responses and enhanced susceptibility to intracellular pathogens (68, 69). …”
Section: Discussionmentioning
confidence: 80%
“…Thus, it would be interesting to see if the change in the serum ADA activity is accompanied by similar changes in ADA isoforms, especially ADA2. Despite the limitations of the this study, we were able to provide serum ADA values throughout normal pregnancy from early first trimester to third trimester which was different from previous studies that only compared the serum ADA activity of pregnant women in their third trimester to the non-pregnant controls (16). …”
Section: Discussionmentioning
confidence: 88%
“…In normal pregnant women, serum total ADA and ADA2 activities were lower than those of the nonpregnant women, while there was no difference in ADA1 activity. These results suggest that reduced serum total ADA activity reflects decreased ADA2 activity, which may be in part associated with depressed cell-mediated immunity during normal pregnancy (16). One possible explanation for decreased ADA activity in normal pregnancy is due to the increase in pregnancy-related hormones such as estradiol and cortisol which tends to inhibit ADA activity (22).…”
Section: Discussionmentioning
confidence: 95%
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